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ffo r d a- 1 416 2"^Street Phone:(209)744-0112 Gait,Ca 95632 Fax:(209)744-0116 affords softcom.net E.O.VR-201/202 X7J Vapor-to-liquid(V/L)Volume Ra0o Test Report Form T Z O Permit Number.N534 Confirmation: 17-23295 Test Company:AFFORDA-TEST Site Name: TRACY CHEVRON Technician:DAVE WINKLER m Site Address: 3775 TRACY BLVD Certification Number Expiration Date Z v City: TRACY CA Zip:95376 District:SJV 2018 0083 DATE 2-21-17 Gas volume meter type(i.e., Roots meter or Tri-Tester) TRI-TESTER Gas volume meter serial or identification number: 940143 Tri-Tester software version,if applicable(must be version 2.01) 2.01 Calibration date for Gas volume meter must be within 180 days of the test) 9-19-16 Gas volume meter correction factor,y(Roots meter) .994 Pre-test leak check for Roots meter: Initial pressure: 30 sec. ressure: Pre-fest leak check for Tri-tester: Re-inflate in 30 sec.Ll Yes N No Post-test leak check for Roots meter: Initial pressure: 30 sec.pressure: Post-test leak check for Tri-tester: Re-inflate in 30 sec.❑Yes N No Initial Final Total Gas Initial Meter Final Meter Neale Fuel Neale Model&Serial Dispenser Dispenser Time Dispensing Pass/Fail Dispensed Reading (W), Reading V&Number Grade No. Reading Reading (gal) (sec) Rate(gal.) Vi (ft3) V, IP/F) (gal.),G gal.),Gr 1 87 900 2GAL 6.09 1,11 PASS 1 89 900 2 6.41 1.07 PASS 1 91 900 2 7.04 1.12 PASS 2 87 900 2 6.99 1.14 PASS 2 89 900 2 7.24 1.11 PASS 2 91 900 2 6.95 1.05 PASS �- 3 87 900 2 6.03 1.11 PASS 3 89 900 2 8.17 1.02 PASS I declare,under penalty of perjury under the laws of the state of California that based on information and belief formed after reasonable inquiry,the statements and information provided in the document are true, accurate, and complete. Signature of Technician: Ts Date: 2-21-17 Vcs, Lu-- 123607